A nurse is counting a client's apical pulse rate. Identify where the nurse should place the stethoscope to auscultate the apical pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Answer and Explanation

The Correct Answer is "{\"xRanges\":[80.828125,100.828125],\"yRanges\":[129,149]}"

To auscultate the apical pulse, the nurse should place the stethoscope at the fifth intercostal space at the midclavicular line on the left side of the chest. This is the location of the apex of the heart, also referred to as the point of maximal impulse (PMI).

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Correct Answer is D

Explanation

A. Popliteal: Checking the popliteal pulse bilaterally is generally safe, as it does not carry the risk of compromising blood flow to the brain.

B. Brachial: Checking the brachial pulse bilaterally is safe and does not compromise circulation to vital organs.

C. Femoral: The femoral pulse can be checked bilaterally without causing significant issues.

D. Carotid: Checking the carotid pulse bilaterally can reduce blood flow to the brain and lead to syncope (fainting), so it should be avoided. Palpating one carotid artery at a time is the correct approach.

A. Dyspnea on exertion B. Respiratory depression C. Intense abdominal pain D. Bradycardia

Correct Answer is A

Explanation

A. Dyspnea on exertion: Anemia from blood loss reduces oxygen-carrying capacity, leading to symptoms like fatigue and dyspnea on exertion. The patient's low SpO₂, tachycardia, and increased respiratory rate are consistent with this finding.

B. Respiratory depression: Respiratory depression is typically associated with narcotics or other depressants, not anemia due to blood loss. The increased respiratory rate suggests a compensatory mechanism for decreased oxygenation, not depression.

C. Intense abdominal pain: While abdominal pain could be present in some conditions, it is not a direct symptom of anemia due to surgical blood loss and decreased perfusion.

D. Bradycardia: Anemia usually causes tachycardia (increased heart rate) as the body compensates for the decreased oxygenation, not bradycardia (slow heart rate). Therefore, bradycardia is unlikely in this case.

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A nurse is counting a client's apical pulse rate. Identify where the nurse should place the stethoscope to auscultate the apical pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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